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Billing code 82131 · Lab & pathology

82131 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $20.39 for 82131 across 50 states, from $5.88 in Florida to $27.58 in New Mexico.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$20.39units vary by state
Lowest
$5.88Florida
Highest
$27.58New Mexico
Answer

What does Medicaid pay for 82131?

50 state Medicaid programs publish a fee-for-service rate for 82131. The national median is $20.39 (units differ between states). New Mexico pays the most, $27.58, and Florida the least, $5.88, a 4.7x spread.

State ranking

82131 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2023-07-01$27.58——Plans must pay at least this—
2Texas Source · since 2019-07-04$24.81——Plans negotiate; applies out of network—
3Arkansas Source · since 2025-03-26$24.09——Not classified—
25Oklahoma Source · since 2024-01-01$20.44——Plans must pay at least this—
26Wisconsin Source · since 2008-07-01$20.33——Plans negotiate; applies out of network—
27Massachusetts Source · since 2024-09-01$20.27——Plans negotiate; applies out of network—
49Virginia Source · since 2014-07-01$11.17——Plans negotiate; applies out of network—
50Florida Source · since 2026-01-01$5.88——Plans negotiate; applies out of network—
See all 50 states for 82131 — start free

42 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 82131 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 82131?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $20.39. New Mexico pays the most ($27.58) and Florida the least ($5.88).

Which state pays the highest Medicaid rate for 82131?

New Mexico, at $27.58, effective 2023-07-01.

Do managed-care plans pay the same rate for 82131?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.